Gabriel I Rael, LMHC
Individual provider Active NPI Mental Health Counselor · Isleta, NM
NPI 1487734315 · NPPES record last updated Mar 22, 2019
Key facts
- NPI
- 1487734315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CMH3520 (NM)
- Practice address
- 01 Sagebrush Road
Isleta, NM 87022-0000 - Phone
- (505) 869-4863
- Fax
- (505) 869-4881
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMH3520 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Isleta | Current | Accepting new patients | |
| Pueblo of Isleta | Current |
Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients |
Locations
1 Sagebrush St SW
Albuquerque, NM 87105
Phone (505) 869-4463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CMH3520 | NM | Yes |
Addresses
Primary practice location
01 Sagebrush Road
Isleta, NM 87022-0000
Mailing address
PO Box 640
Isleta, NM 87022-0640
Phone (505) 869-4863
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3520 | Other | NM | LICENSE |
Other providers in Isleta, NM
- Pueblo of Isleta
- Pueblo of Isleta
- Pueblo of Isleta
- Pueblo of Isleta Assisted Living Facility
- Pueblo of Isleta Behavioral Health
- John James Richter III
- Karen Marie Roop
- Jennifer Sandoval
- Juanita Sena
- Brandy L. Shinnick
All providers in Isleta, NM · Mental Health Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.